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Destroying Sanctuary – The Crisis in Human Service Delivery Systems - Oxford Scholarship Online
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Destroying Sanctuary: The Crisis in Human Service Delivery Systems

Sandra L. Bloom and Brian Farragher


This book describes what happens to human service delivery programs under the impact of unrelenting stress and multiple losses. Never perfect places of safety in the first place, many social services of every size, shape, and variety are collapsing under over thirty years of system fragmentation even while public costs have escalated dramatically. The result is that important places of refuge–of sanctuary–for the children, adults, and families who have been exposed to the greatest amount of adversity and trauma, are struggling to provide even the most minimally adequate services. ... More

Keywords: trauma-informed systems, organizational development, organizational stress, organizational trauma, leadership, workforce development, complex adaptive systems, democratic workplaces, parallel process, workplace stress, mental models, trauma theory, trauma-organized systems

Bibliographic Information

Print publication date: 2010 Print ISBN-13: 9780195374803
Published to Oxford Scholarship Online: January 2011 DOI:10.1093/acprof:oso/9780195374803.001.0001


Affiliations are at time of print publication.

Sandra L. Bloom, author
Department of Health Management and Policy, Drexel University School of Public Health

Brian Farragher, author
The Andrus Children's Center